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General NPI Number Information
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NPI Number | 1235349069
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Entity Type | Individual
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Provider Name | TAMA ABEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 03/24/2011
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Provider Practice Location Address
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Address Line | 4433 BRETON RD SE
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City | KENTWOOD
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State | MI
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Zip | 49508-5273
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Country | US
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Telephone | 616-281-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 2232 S MAIN ST # 312
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City | ANN ARBOR
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State | MI
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Zip | 48103-6938
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Country | US
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Telephone | 734-930-6303
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301045038
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License Number State | MI
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